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Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report
Infection rates of arthroscopic procedures have been consistently reported at approximately 1% and are even less common in shoulder arthroscopy (0.3%). We are unaware of any prior reports of infection associated with an arthroscopic-assisted latissimus dorsi transfer and report on a 60-year-old male...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234343/ https://www.ncbi.nlm.nih.gov/pubmed/32477563 http://dx.doi.org/10.1177/2050313X20921326 |
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author | Panella, Antonio Baglioni, Marco Rifino, Francesco De Crescenzo, Angelo Notarnicola, Angela Moretti, Biagio |
author_facet | Panella, Antonio Baglioni, Marco Rifino, Francesco De Crescenzo, Angelo Notarnicola, Angela Moretti, Biagio |
author_sort | Panella, Antonio |
collection | PubMed |
description | Infection rates of arthroscopic procedures have been consistently reported at approximately 1% and are even less common in shoulder arthroscopy (0.3%). We are unaware of any prior reports of infection associated with an arthroscopic-assisted latissimus dorsi transfer and report on a 60-year-old male who experienced this event. At the 2-month follow-up, he reported an infection of the shoulder joint, characterized by a fistula on the portal scar. Laboratory tests revealed a Pseudomonas aeruginosa infection which was treated with arthroscopic irrigation and debridement of the shoulder joint followed by oral antibiotics for 6 weeks. At 1-year follow-up no findings of infection were presented. To our knowledge, this is the first case of P. aeruginosa infection of the shoulder after an arthroscopic-assisted latissimus dorsi tendon transfer. Because the empirical pharmacological therapy initially adopted did not produce a clinically important improvement, a more organism-specific antibiotic was used. In conclusion, the key points of positive results were surgical approach with careful washout, debridement of surgical accesses, and targeted antibiotic therapy. |
format | Online Article Text |
id | pubmed-7234343 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-72343432020-05-29 Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report Panella, Antonio Baglioni, Marco Rifino, Francesco De Crescenzo, Angelo Notarnicola, Angela Moretti, Biagio SAGE Open Med Case Rep Case Report Infection rates of arthroscopic procedures have been consistently reported at approximately 1% and are even less common in shoulder arthroscopy (0.3%). We are unaware of any prior reports of infection associated with an arthroscopic-assisted latissimus dorsi transfer and report on a 60-year-old male who experienced this event. At the 2-month follow-up, he reported an infection of the shoulder joint, characterized by a fistula on the portal scar. Laboratory tests revealed a Pseudomonas aeruginosa infection which was treated with arthroscopic irrigation and debridement of the shoulder joint followed by oral antibiotics for 6 weeks. At 1-year follow-up no findings of infection were presented. To our knowledge, this is the first case of P. aeruginosa infection of the shoulder after an arthroscopic-assisted latissimus dorsi tendon transfer. Because the empirical pharmacological therapy initially adopted did not produce a clinically important improvement, a more organism-specific antibiotic was used. In conclusion, the key points of positive results were surgical approach with careful washout, debridement of surgical accesses, and targeted antibiotic therapy. SAGE Publications 2020-05-06 /pmc/articles/PMC7234343/ /pubmed/32477563 http://dx.doi.org/10.1177/2050313X20921326 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Panella, Antonio Baglioni, Marco Rifino, Francesco De Crescenzo, Angelo Notarnicola, Angela Moretti, Biagio Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report |
title | Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report |
title_full | Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report |
title_fullStr | Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report |
title_full_unstemmed | Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report |
title_short | Pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: A case report |
title_sort | pseudomonas aeruginosa infection of shoulder joint after latissimus dorsi tendon transfer: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234343/ https://www.ncbi.nlm.nih.gov/pubmed/32477563 http://dx.doi.org/10.1177/2050313X20921326 |
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